{"id":370683,"date":"2024-01-30T00:01:00","date_gmt":"2024-01-29T23:01:00","guid":{"rendered":"https:\/\/medizinonline.com\/quelle-est-la-securite-de-5-centimetres\/"},"modified":"2024-01-30T00:01:07","modified_gmt":"2024-01-29T23:01:07","slug":"quelle-est-la-securite-de-5-centimetres","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/quelle-est-la-securite-de-5-centimetres\/","title":{"rendered":"Quelle est la s\u00e9curit\u00e9 de 5 centim\u00e8tres ?"},"content":{"rendered":"\n<p><strong>L&#8217;ad\u00e9nocarcinome de l&#8217;estomac peut \u00eatre trait\u00e9 chirurgicalement par r\u00e9section gastrique distale dans certaines conditions. L&#8217;un des facteurs \u00e0 prendre en compte est la n\u00e9cessit\u00e9 d&#8217;une distance de s\u00e9curit\u00e9 proximale par rapport \u00e0 la tumeur de 5 cm ou 8 cm, en fonction de l&#8217;histologie de la tumeur. Cependant, il manquait jusqu&#8217;\u00e0 pr\u00e9sent des donn\u00e9es pour des d\u00e9terminations plus pr\u00e9cises et des effets sur la survie.<\/strong><\/p>\n\n<!--more-->\n\n<p>Une \u00e9quipe du d\u00e9partement de chirurgie g\u00e9n\u00e9rale, visc\u00e9rale et de transplantation de l&#8217;h\u00f4pital universitaire de Heidelberg (Allemagne) a \u00e9tudi\u00e9 l&#8217;influence de la marge de s\u00e9curit\u00e9 proximale des diff\u00e9rents types histologiques de carcinome gastrique sur la survie et l&#8217;intervalle sans r\u00e9cidive apr\u00e8s gastrectomie distale [1]. Les chercheurs ont inclus dans leur \u00e9tude des patients atteints d&#8217;un ad\u00e9nocarcinome de l&#8217;estomac qui ont subi une r\u00e9section gastrique distale \u00e0 titre curatif \u00e0 l&#8217;h\u00f4pital universitaire de Heidelberg entre octobre 2001 et mars 2022. L&#8217;\u00e9valuation r\u00e9trospective a \u00e9t\u00e9 r\u00e9alis\u00e9e sur la base d&#8217;une base de donn\u00e9es prospective.<\/p>\n\n<p>Au total, 176 patients ont \u00e9t\u00e9 identifi\u00e9s et r\u00e9partis en deux groupes (marge de s\u00e9curit\u00e9 &lt;5 cm bzw.&gt;5 cm) et selon l&#8217;histologie de la tumeur. L&#8217;influence sur la survie ainsi que sur l&#8217;intervalle sans r\u00e9cidive a \u00e9t\u00e9 analys\u00e9e au moyen de l&#8217;analyse de Kaplan-Meier et de la r\u00e9gression de Cox. Au final, aucune diff\u00e9rence significative n&#8217;a \u00e9t\u00e9 observ\u00e9e en termes de marge de s\u00e9curit\u00e9 entre les diff\u00e9rentes histologies tumorales (intestinale : 4,9 +\/- 2,8 ; mixte : 5,1 +\/- 2,9 ; diffuse : 5,7 +\/- 3,0). Aucune diff\u00e9rence n&#8217;a non plus \u00e9t\u00e9 d\u00e9montr\u00e9e en termes de survie globale (p=0,261) ou d&#8217;intervalle sans r\u00e9cidive (p=0,947). L&#8217;\u00e9valuation au sein de chaque groupe et \u00e9galement entre les groupes avec distinction de la marge de s\u00e9curit\u00e9 &lt;5 cm und&gt;5 cm n&#8217;a pas montr\u00e9 d&#8217;influence sur la survie globale ou l&#8217;intervalle sans r\u00e9cidive dans chaque cas.  <\/p>\n\n<p>La d\u00e9finition d&#8217;une distance de s\u00e9curit\u00e9 de 5 cm ou 8 cm ne montre pas d&#8217;influence pertinente sur la survie globale, a conclu le groupe \u00e0 partir des donn\u00e9es. Des \u00e9tudes futures seraient n\u00e9cessaires pour d\u00e9finir l&#8217;\u00e9tendue de la r\u00e9section de la gastrectomie distale.<\/p>\n\n<p><em>Congr\u00e8s: Viszeralmedizin 2023<\/em><\/p>\n\n<p><\/p>\n\n<p>Source :<\/p>\n\n<ol class=\"wp-block-list\">\n<li>Sch\u00fctte I: Vortrag \u00abNotwendigkeit eines proximalen Sicherheitsabstandes von mehr als 5cm bei distaler Gastrektomie?\u00bb; Sitzung \u00abCAOGI\/ACO: Anastomosentechniken an \u00d6sophagus und Magen \u2013 Technik und Komplikationsmanagement\u00bb; Viszeralmedizin 2023, Hamburg, 14.09.2023; Z Gastroenterol 2023; doi: 10.1055\/s-0043-1771685.<\/li>\n<\/ol>\n\n<p><\/p>\n\n<p class=\"has-small-font-size\"><em>GASTROENTEROLOGIE PRAXIS 2023: 1(2): 34<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;ad\u00e9nocarcinome de l&#8217;estomac peut \u00eatre trait\u00e9 chirurgicalement par r\u00e9section gastrique distale dans certaines conditions. L&#8217;un des facteurs \u00e0 prendre en compte est la n\u00e9cessit\u00e9 d&#8217;une distance de s\u00e9curit\u00e9 proximale par&hellip;<\/p>\n","protected":false},"author":7,"featured_media":370692,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Gastrectomie distale","footnotes":""},"category":[11399,11527,11414,11315,11389,11535,11549],"tags":[50831,36095,72751,72756,72753],"powerkit_post_featured":[],"class_list":["post-370683","post","type-post","status-publish","format-standard","has-post-thumbnail","category-chirurgie-fr","category-etudes","category-gastro-enterologie-et-hepatologie","category-medecine-interne-generale","category-oncologie","category-rapports-de-congres","category-rx-fr","tag-adenocarcinome","tag-distance-de-securite","tag-gastrectomie-distale","tag-histologie-des-tumeurs","tag-resection-gastrique","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-19 13:36:59","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":370717,"slug":"quanto-sono-sicuri-5-centimetri","post_title":"Quanto sono sicuri 5 centimetri?","href":"https:\/\/medizinonline.com\/it\/quanto-sono-sicuri-5-centimetri\/"},"pt_PT":{"locale":"pt_PT","id":370687,"slug":"quao-seguros-sao-5-centimetros","post_title":"Qu\u00e3o seguros s\u00e3o 5 cent\u00edmetros?","href":"https:\/\/medizinonline.com\/pt-pt\/quao-seguros-sao-5-centimetros\/"},"es_ES":{"locale":"es_ES","id":370726,"slug":"hasta-que-punto-son-seguros-5-centimetros","post_title":"\u00bfHasta qu\u00e9 punto son seguros 5 cent\u00edmetros?","href":"https:\/\/medizinonline.com\/es\/hasta-que-punto-son-seguros-5-centimetros\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/370683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=370683"}],"version-history":[{"count":2,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/370683\/revisions"}],"predecessor-version":[{"id":373364,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/370683\/revisions\/373364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media\/370692"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=370683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=370683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=370683"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=370683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}